Individual
DR. MIRIAM SUZANNE WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
6311 KINGSTON PIKE, SUITE 28W, KNOXVILLE, TN 37919-4906
(865) 588-3173
Mailing address
717 WHIRLAWAY CIR, KNOXVILLE, TN 37923-2144
(865) 539-2545
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P1177
TN
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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